NPI | 1144347287 |
---|---|
Former Name | ABBY LYN GOLDSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 002850) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 016517) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2020-09-22 |